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CITY OF ORONO PERMIT NO.: 2011-00066 <br /> ` 2750 KELLEY PARKWAY <br /> ` ORONO, MN 55356- DATE IssuEn: 02/02/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1485 LONG LAKE BLVD <br /> PIN : 35-118-23-22-0001 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,890.00 <br /> NOTE: 1 LENNOX NAT GAS FURNACE <br /> 1 LENNOX 3 TON AC <br /> � <br /> APPLICANT MECHANICAL 98.63 <br /> GOLDEN VALLEY HEATING&AIR STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 5182 WEST BROADWAY <br /> CRYSTAL,MN 55429- MAIL-IN FEE 2.00 <br /> (612)535-2000 MISC FEE 0.00 <br /> TOTAL 105.63 <br /> OWNER <br /> GREENLEY, KURTIS <br /> 1485 LONG LAKE BLVD <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with th�State Building Code.This permit may be <br /> revoked at any time for d�e cause. <br /> - ��� � i i i i <br /> Applicant Permitee Signature Date Issue y S'g ature ate <br /> t <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED A <br /> � °. <br />